The purpose of the study was to evaluate the IMB skills model for its relevance to the Ethiopian context. According to the model, adherence-related information and motivation work through adherence-related behavioural skills to affect adherence to ART. Quantitative, analytical, observational, cross-sectional, institution-based study was conducted to evaluate the model by assessing those patients who have and do not have the right information, motivation, and behavioural skills whether they have or do not have good adherence to ART. Data was collected using structured questionnaires where a total of 400 randomly selected participants provided data on adherence-related information, motivation and behavioral skills as well as adherence behavior per se. Data was analysed using the Statistical Package for Social Sciences (SPSS) version 20.0. Both descriptive and inferential statistics used in the study. Only 90.75 % of the total sample population reported ART adherence rate of more than or equal to 95% in this study. Free and restricted model tests, through bivariate and multivariate analyses, used to assess the propositions of the IMB model of ART adherence and provided support for the interrelations between the elements proposed by the model. The study has supported the applicability of the IMB model of adherence to the Ethiopian context highlighting its application in adherence-promotion intervention efforts. The findings revealed the need for on-going educational, informational and other interventions to address the knowledge, motivation and adherence behavioural skills of patients in order to improve the current levels of ART adherence behaviour. / Health Studies / D. Litt. et. Phil. (Health Studies)

[pt] Esta dissertação enfoca o enlace direto de sistemas MIMO multiusuário com pré-codificação onde a estação base e os terminais dos usuários possuem múltiplas antenas mas transmitem e recebem, respectivamente, símbolos de informação através de subconjuntos selecionados de seus conjuntos de antenas. O trabalho considera sistemas que utilizam técnicas de précodificação linear como Zero Forcing (ZF) e Minimum Mean Square Error (MMSE). Expressões gerais que descrevem os sistemas e relacionam a energia gasta na transmissão com a energia disponível para a detecção em cada usuário são apresentadas. Com base nestas relações, um procedimento para seleção de antenas na transmissão é proposto visando a minimização da probabilidade de erro. Um algoritmo de busca não exaustiva denominado ITES (Iterative Search) foi desenvolvido e testado e mostrou-se capaz de, com apenas uma pequena fração do esforço computacional, fornecer um desempenho próximo ao da seleção ótima, que demanda uma busca exaustiva. A seleção de antenas na recepção é também efetuada usando um critério de otimização semelhante. O caso geral da seleção conjunta de antenas na transmissão e na recepção contempla a combinação de ambas estratégias, resultando na redução da complexidade tanto na estação base, quanto nos terminais dos usuários. Os resultados de desempenho em termos da taxa de erro de bit, obtidos por meio de simulações e abordagem semianalítica, são apresentados para diferentes cenários. / [en] This thesis focuses on the downlink of a multiuser multiple-input multiple-output (MU-MIMO) systems where the Base Station (BS) and the users stations (UEs) transmit and receive information symbols, respectively, by selected subset of their antennas. The performance of the system is evaluated employing linear precoding techniques as Zero Forcing (ZF) and Minimum Mean Square Error (MMSE). A general model to describe the system and expressions that relate the energy spent in transmission with the energy available for detection at each user are presented. A transmit antenna selection procedure is proposed aiming at the minimization of the detection error probability. A suboptimal search algorithm, called ITES (Iterative Search), able to deliver a performance close to the one resulting from the optimal exhaustive search selection is also proposed. The receive antenna selection is also performed using a similar optimization criterion. Joint antennas selection at the transmitter and receiver contemplates the efficient combination of both strategies, leading to a complexity reduction in BS and UEs. BER performance results, obtained via simulation and semi-analytical approaches, are presented for different scenarios.

Nous décrivons une procédure numérique pour le recalage d'IRM cérébrales 3D. Le problème d'appariement est abordé à travers la distinction usuelle entre le modèle de déformation et le critère d'appariement. Le modèle de déformation est celui de l'anatomie computationnelle, fondé sur un groupe de difféomorphismes engendrés en intégrant des champs de vecteurs. Le décalage entre les images est évalué en comparant les lignes de niveau de ces images, représentées par un courant différentiel dans le dual d'un espace de champs de vecteurs. Le critère d'appariement obtenu est non local et rapide à calculer. On se place dans l'ensemble des difféomorphismes pour rechercher une déformation reliant les deux images. Pour cela, on minimise le critère en suivant le principe de l'algorithme sous-optimal. L'efficacité de l'algorithme est renforcée par une description eulérienne et périodique du mouvement. L'algorithme est appliqué pour le recalage d'images IRM cérébrale 3d, la procédure numérique menant à ces résultats est intégralement décrite. Nos travaux concernent aussi l'analyse des propriétés de l'algorithme. Pour cela, nous avons simplifié l'équation représentant l'évolution de l'image et étudié l'équation simplifiée en utilisant la théorie des solutions de viscosité. Nous étudions aussi le problème de détection de rupture dans la variance d'un signal aléatoire gaussien. La spécificité de notre modèle vient du cadre infill, ce qui signifie que la distribution des données dépend de la taille de l'échantillon. L'estimateur de l'instant de rupture est défini comme le point maximisant une fonction de contraste. Nous étudions la convergence de cette fonction et ensuite la convergence de l'estimateur associé. L'application la plus directe concerne l'estimation de changement dans le paramètre de Hurst d'un mouvement brownien fractionnaire. L'estimateur dépend d'un paramètre p > 0 et nos résultats montrent qu'il peut être intéressant de choisir p < 2. / We present a numerical procedure for the matching of 3D MRI. The problem of image matching is addressed through the usual distinction between the deformation model and the matching criterion. The deformation model is based on the theory of computational anatomy and the set of deformations is a group of diffeomorphisms generated by integrating vector fields. The discrepancy between the two images is evaluated through comparisons of level lines represented by a differential current in the dual of a space of vector fields. This representation leads to a quickly computable non-local criterion. Then, the optimisation method is based on the minimization of the criterion following the idea of the so-called sub-optimal algorithm. We take advantage of the eulerian and periodical description of the algorithm to get an efficient numerical procedure. This algorithm can be used to deal with 3d MR images and numerical experiences are presented. In an other part, we focus on theoretical properties of the algorithm. We begin by simplifying the equation representing the evolution of the deformed image and we use the theory of viscosity solutions to study the simplified equation. The second issue we are interested in is the change-point estimation for a gaussian sequence with change in the variance parameter. The main feature of our model is that we work with infill data and the nature of the data can evolve jointly with the size of the sample. The usual approach suggests to introduce a contrast function and using the point of its maximum as a change-point estimator. We first get an information about the asymptotic fluctuations of the contrast function around its mean function. Then, we focus on the change-point estimator and more precisely on the convergence of this estimator. The most direct application concerns the detection of change in the Hurst parameter of a fractional brownian motion. The estimator depends on a parameter p > 0, generalizing the usual choice p = 2. We present some results illustrating the advantage of a parameter p < 2.

The purpose of the study was to evaluate the IMB skills model for its relevance to the Ethiopian context. According to the model, adherence-related information and motivation work through adherence-related behavioural skills to affect adherence to ART. Quantitative, analytical, observational, cross-sectional, institution-based study was conducted to evaluate the model by assessing those patients who have and do not have the right information, motivation, and behavioural skills whether they have or do not have good adherence to ART. Data was collected using structured questionnaires where a total of 400 randomly selected participants provided data on adherence-related information, motivation and behavioral skills as well as adherence behavior per se. Data was analysed using the Statistical Package for Social Sciences (SPSS) version 20.0. Both descriptive and inferential statistics used in the study. Only 90.75 % of the total sample population reported ART adherence rate of more than or equal to 95% in this study. Free and restricted model tests, through bivariate and multivariate analyses, used to assess the propositions of the IMB model of ART adherence and provided support for the interrelations between the elements proposed by the model. The study has supported the applicability of the IMB model of adherence to the Ethiopian context highlighting its application in adherence-promotion intervention efforts. The findings revealed the need for on-going educational, informational and other interventions to address the knowledge, motivation and adherence behavioural skills of patients in order to improve the current levels of ART adherence behaviour. / Health Studies / D. Litt. et Phil. (Health Studies)

Ces travaux de thèse concernent la conception et l'étude d'algorithmes, d'une part pourprédire les quantités thermodynamiques et la structure secondaire des ARN, d'autre part pour l'alignement de séquences.Dans une première partie, nous appliquons un algorithme de Monte-Carlo pour approximer la densité d'états d'énergie des structures secondaires d'une séquence d'ARN, ou d'une hybridation de deux molécules d'ARN données. Nous montrons d'abord que la densité estimée par notre programme est aussi bonne que la densité exacte, et le temps d'exécution de notre programme est beaucoup plus rapide. Nous calculons ensuite la température de dénaturation d'une hybridation de deux molécules d'ARN. Nous montrons que nos températures de dénaturation sont plus proches des valeurs expérimentales que celles des deux autres programmes existants.Puis, dans une deuxième partie, nous implémentons un algorithme de programmation dynamique qui engendre des structures sous-optimales, dédié principalement à la prédiction des deux structures fonctionnelles des riboswitchs. Nous appliquons d'abord notre programme sur un riboswitch TPP dans lequel nous avons réussi à détecter les deux structures fonctionnelles. Nous montrons ensuite que les structures prédites par notre programme sont plus proches de la structure réelle par rapport aux cinq autres programmes existants, sur un échantillon de riboswitch purine.Enfin, dans une troisième partie, nous présentons un algorithme de recherche des alignements sous-optimaux de séquences pour améliorer la qualité d'alignement des séquences. Nous comparons d'abord nos alignement à ceux produits par l'algorithme de Needdleman-Wunsch. Nous prédissons plus d'alignements de référrence par rapport l'algorithme de Needdleman-Wunsch. Nous calculons ensuite les fréquences des paires de bases alignées et les entropies de position spécifique dans nos alignements sous-optimaux. Nous montrons que les entropies calculées à partir de notre programme sont plus corrélées que celles des autres programmes avec les positions des paires de résidus fiablement alignées selon BAliBASE. / This thesis concerns the design and study of algorithms, on the one hand to predict the thermodynamic quantities and the secondary structure of RNA, the other for sequence alignment.In the first part, we apply a Monte Carlo algorithm to approximate the density of states for secondary structures of a given RNA sequence, and for hybridizations of two RNA sequences. We first show that the density estimated by our program is as good as the exact density, and the execution time of our program is much faster. We then calculate the melting temperature for a hybridization of two RNA sequences. We show that our melting temperatures are closer to experimental values than the other two programs.Then in the second part, we implement a dynamic programming algorithm that generates sub-optimal structures, mainly dedicated to the prediction of functional structures of riboswitchs. We first apply our program on a TPP riboswitch in which we were able to detect both functional structures. We then show that the structures predicted by our program are closer to the real structure compared to five other existing programs, on a sample of purine riboswitch.Finally, in the third part, we present a novel algorithm to produce sub-optimal pairwise alignments. We first compare our alignments to those produced by the algorithm of Needdleman-Wunsch. We predict more reference alignments than the algorithm of Needdleman-Wunsch. We then calculate the frequencies and position-specific entropies from our sub-optimal alignments. We show that entropies calculated from our program are more correlated than other programs with locations in the core block of BAliBASE reference alignments.